Published Friday 15 January 2016 at 13:27
Local agencies working on the issue of domestic abuse would like your views. The survey questions have been written to help inform agencies and the services they provide.
Please be aware that the questions deal with sensitive and potentially upsetting issues before continuing.
People who provide their contact details will be entered into a prize draw to win a £75 voucher. All details provided will be kept confidential.
https://www.surveymonkey.co.uk/r/7JHZS3F